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    Psychosocial Factors:Stress and Health Management

    Dr. Suman Mukhopadhyay Assistant Professor,

    National Institute of Industrial Engineering (NITIE), Mumbai

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    Goal of Every Industry.

    IncreasedProductivity

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    Factors.You wish you could Control

    IncreasedProductivity

    ImStress

    Other Factors

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    An individuals adaptive responseto changes in the environment thatplace demands on the individual.

    People adapt in many different ways Functional Dysfunctional

    The stimuli that induce stress arecalled stressors

    Stress may be physical orpsychological

    Stress

    http://images.google.co.in/imgres?imgurl=http://www.psychologycoach.com/communities/004/005/453/936/images/4510984362.jpg&imgrefurl=http://current.com/items/85310341_swearing_at_work_can_cut_stress&h=1200&w=1600&sz=497&hl=en&start=12&tbnid=iPsTVUflu8VmjM:&tbnh=113&tbnw=150&prev=/images%3Fq%3Dstress%26gbv%3D2%26hl%3Den%26sa%3DG
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    TYPES OF STRESS

    Negative stress

    Positive stress

    To be or not to be..

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    NEGATIVE STRESSDistress

    Distress or negative stress occurswhen your level of stress is eithertoo high or too low and your bodyand/or mind begin to respondnegatively to the stressors.

    POSITIVE STRESSEuStress

    Eustress or positive stress occurswhen your level of stress is highenough to motivate you to moveinto action to get things

    accomplished.

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    Positive versus Negative Stress Positive stress

    Feelings of excitement &anticipation

    Creativity is heightened

    Coping skills learned andadapted quickly Ability to process

    information rapidlyincreases

    Perception narrows,concentration increases

    Heightened physicalstamina

    Bonding increases

    Negative Stress Feelings of anxiety and

    uncertainty Creativity is stunted

    Coping skills areoverwhelmed Ability to process

    information is stunted Perception narrows Easily distracted by

    surrounding stimuli Somatic symptoms Conflict and blaming occur

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    8

    Typical Relationship BetweenPerformance and Stress

    Too Little Stress Optimum Stress Excessive Stress

    Low Amount of Stress High

    L e v e

    l o

    f

    P e r f o r m a n c e

    Low(poor)

    High(excellent)

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    The Stressors

    Stress is not caused by any external factor. It is

    created by oneself by the way one perceives about theexternal factors.

    The situations in which most of the people tend to getstressed are called stressors.

    Stressor is an agent, condition, or other stimulus thatcauses stress to an organism.

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    Causes of Stress

    Causes Consequences

    Life Stressors

    OrganizationalStressors

    ExperienceStress

    Life Changes

    Life Trauma

    Burnout

    Task Demands:Occupation

    Security

    Overload

    Physical Demands:

    Temperature

    Office Design

    Role Demands:Conflict

    Ambiguity

    Overload

    Interpersonal Demands:

    Group Pressures

    Leadership Style

    Personalities

    Individual Consequences

    Behavioral

    Psychological

    Medical

    Organizational

    Consequences

    Decline in performance

    Turnover & absenteeism

    Decreased motivation &

    satisfaction

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    Work/Organizational Stress. It is the response people

    may have when presentedwith work demands andpressures that are not

    matched to their knowledgeand abilities and whichchallenge their ability tocope.

    Little or no support fromemployers and colleaguesmakes the situation worse.

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    Confusion

    There is often confusion between work pressure or challenge andstress and sometimes it is used to excuse bad management practice.

    Pressure at workplace is unavoidable due to demands of thecontemporary work environment.

    Pressure perceived as acceptable by an individual, may even keepworkers alert, motivated, able to work and learn, depending on theavailable resources and personal characteristics.

    When the pressure becomes excessive or otherwise unimaginable itleads to stress.

    Stress can damage your workers health and your businessperformance.

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    Healthy Job ???

    According to WHO (1986), health is not merely theabsence of disease or infirmity but a positive state of

    complete physical, mental and social well-being.

    A healthy job is one where the pressure on employees areappropriate in relation to their abilities and resources, to

    the amount of control they have over their work and thesupport they receive from people who matter.

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    Healthy Working Environment

    A healthy working environment isone in which there is not only anabsence of harmful conditions butan abundance of health promotingones.

    It is one where the staff have made

    health and health promotion apriority and part of their workinglives.

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    A Continuous Balancing Act !!!

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    Job StressThe goal is to manage our jobstress before it manages us!

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    Work overload

    Time pressure and deadlines

    Work-related travel

    Long working hours

    Taking my work homeInadequately trained subordinates

    My beliefs conflicting with those of theorganization

    Interpersonal relationsThreat of job loss

    Dealing with unions

    Lack of power and influence

    Lack of career development

    Keeping up with newtechnology

    Dealing withenvironment groups

    My spouses attitudetowards mywork/career

    Demands of work onmy relationship withmy familyDemands of work onmy private and sociallife

    Etiology of Work & Lifestyle Stress

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    Causes of Workplace Stress

    Stress at work often occurs when the pressure toperform is greater than the available resourcesand/or the capability .

    Job Insecurity High Demand for performance Technology Workplace culture

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    Economic Burden of Stress

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    Included in Costs of Stress

    Absenteeism (occupational & non-occupational) Turnover Productivity

    Accidents Injuries Illnesses (premiums, taxes, health office)

    Creativity and Quality Customer relations Substance abuse

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    One Nation Under Stress Corporate Mergers Corporate Downsizing Stock Market Jitters

    Urban Sprawl 24/7 Accessibility Global Terrorism Techno stress

    Health Care Reform Pension & Benefit Issues Global Warming Privacy issues

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    Americans are working longer and harder. During the 1990s, the U.S.economy has created 6 million jobs, but the increased work load is equal to8 million jobs.

    According to the National Institute of Occupational Safety andHealth, 46% of working adults view their jobs as very stressful orextremely stressful.

    A survey by the American Management Association found that 81%percent of respondents suffer from the ill effects of stress at least once aweek.

    In a survey of medical and personnel directors of Fortune 1,000

    companies, 70% said mental health problems were fairly or very pervasive. Stress costs employers about $150 billion annually in workers

    compensation claims, absenteeism, turnover, and health and disabilityclaims, reducing profits by about 10%.

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    Costs of Stress

    EU = 20bil euros yearly US = $200-350 billion yearly Great Britain = $64.8-66.1 bil yearly Japan = $232 bil yearly

    Canada = $33 bil yearly

    f

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    Impact of Stress Costs:What does it mean?

    Employer Size Total Costs due to Stress100 employees $894,660.001000 employees $8,946,600.00

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    Scope of Problem

    3 billion people work daily3-12 hours per day2-6 days per week45-52 weeks per year45 years

    Exposure to work environmentExposure to stress?

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    Recognition of Stress Impact

    US = Healthy People 2010 EU= reports calling for minimization of stress

    on the job UK = Standards for Stress with goals Japan= karoshi (suicide from work-related

    stress) United Nations = disease of century WHO = world wide epidemic

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    Worldwide facts and figures:

    121 million people suffer from depression

    1 million people die from suicide every year

    10-20 million people attempt suicide

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    Absenteeism

    Non-occupational absenteeism:

    Occupational absenteeism:

    TOTAL WAGE COST IN ABSENTEEISM PEREMPLOYEE PER YEAR: $527.67

    5 paid daysper year

    75% stressrelated

    3.75 days lostdue to stress

    $122.57 dailywages

    $459.64 peryear per

    employee

    .74 days peryear

    75% stressrelated

    .55 days lostdue to stress

    $122.57 dailywages

    $68.03 peryear per

    employee

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    18% of employees

    abusesubstances

    40%Productivity

    Loss

    7.2%productivityloss for allemployees

    $31,868.20annualwages

    $2,294.51per year peremployee

    Substance Abuse

    Other Stress Behaviors12% reducedproductivity due tostress

    $31,868.20 annualwages

    $3,824.18 per year peremployee

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    Cost of Health Insurance

    $1.87 perhour per

    employeefor healthinsurance

    $3,403.40per year

    peremployee

    90%utilization

    forprimarycare =$3063.06

    75%primary

    care stressrelated

    $2,297.30per year

    peremployee

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    Indian ScenarioStart Worrying!!!

    According to the World Health Organization (2005),the estimated loss in Indias national income due toheart diseases, hypertension and diabetes in 2005was US $9 billion compared to US $3 billion forBrazil.

    These losses are projected to exceed US $200 billionin the next decade, unless preventive measures aretaken in which case, an accumulated economicgrowth of US $15 billion can be expected.

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    Indian ScenarioStart Worrying!!!

    It is projected that India will lose US $23 billion annually in

    foregone income over the decade 2005 and 2015 owing todeaths relating to just three chronic diseases.

    Income loss as a percentage of GDP for populous countrieslike India will be high, around 1.27 per cent in 2015.

    This loss in income is attributed to labour units lost onaccount of death from chronic disease as well as the medicalexpenditure to treat these conditions.

    Study has estimated that a 2 per cent reduction in chronicdisease death rates annually between 2005 and 2015 willresult in an accumulated income gain of US $15 billion inIndia.

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    Estimates of losses in national income due to chronic diseases

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    Response To Stress

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    Effects of Stress

    Physiological effects Increased blood pressure, increased heart rate,

    sweating, hot and cold spells, etc.

    Emotional effects Anger, anxiety, depression, lowered self-esteem, etc.

    Behavioral effects

    Poor performance, absenteeism, high accident rates,high turnover rates, etc.

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    Impacts of Stress

    Health problems

    Coronary heart disease, back pain, headaches, etc.

    Impact on the organization Increased health insurance costs and lost work days

    Over 75% of industrial accidents are rooted in

    stress Stress- related workers compensation claims

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    GENERAL ADAPTATION SYNDROME

    Alarm response

    Adaptation

    Exhaustion

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    General Adaptation Syndrome

    The general adaptation syndrome (GAS) Eustress = stress triggered by a pleasant stressor

    Distress = stress triggered by an unpleasant stressor

    Stages of GAS Alarm = fight-or-flight reaction Resistance = new level of homeostasis characterized by

    increased resistance to stress Exhaustion = life-threatening physiological exhaustion

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    ALARM RESPONSE

    This is the Fight or Flight response that

    prepares the body for immediate action.

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    ADAPTATION PHASE

    If the source persists, the body prepares for long-term protection, secreting hormones to increase

    blood sugar levels. This phase is common and notnecessarily harmful, but must include periods of relaxation and rest to counterbalance the stressresponse. Fatigue, concentration lapses, irritabilityand lethargy result as the stress turns negative.

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    General Adaptation Syndrome

    The Physiology of Stress:

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    The Physiology of Stress:Neuro-endocrine model

    fight -or- flight response : Walter Cannon

    Our bodys automatic response when we perceive a threator danger and helps us to survive.

    The initiation of the stress response

    Activation of the hypothalamic-pituitary axis (HPA axis)

    Turning on of the sympathetic autonomic nervous system (ANS).

    Sympathetic activation of adrenal medula (SAM axis):Secretion of epinephrine, norepinephrine and cortisol from adrenal gland

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    The Physiology of Stress:endocrine model

    Release of corticotrophin releasing hormone (CRH) from hypothalamus.

    Release of adrenocorticotropin (ACTH) from pituitary gland

    Secretion of epinephrine, norepinephrine and cortisol from adrenal gland

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    Physical Response to Stressors = Fight-or-Flight Reaction

    Key chemical messengers during the stress response

    Norepinephrine = neurotransmitter released by thesympathetic division to increase body functions; increases

    attention, awareness, alertness Epinephrine = hormone secreted by the inner core of the

    adrenal gland

    Cortisol = steroid hormone secreted by the outer layer of the adrenal gland

    Endorphin = brain secretions that have pain-inhibitingeffects

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    Physical Response to Stressors:Fight-or-Flight Reaction

    Together, the nervous system and the endocrine systemprepare the body to respond to a stressor

    The physiological response is the same regardless of thenature of the stressor

    Once a stressful situation ends, the parasympatheticdivision returns the body to homeostasis a state of stability and consistency in an individuals physiologicalfunctioning

    The fight-or-flight reaction is often inappropriate fordealing with the stressors of modern life, many of which donot require a physical response

    Fight or Flight Reaction

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    Fight-or-Flight Reaction

    Fight or Flight Reaction

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    Fight-or-Flight Reaction

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    Actions of the

    Sympathetic andParasympatheticDivisions of the

    ANS

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    The Physiology of Stress

    The net result is a sympathetic autonomic nervoussystem mediated response which includes: 1. Increased central nervous system (CNS) activity

    2. Increased mental activity3. Increased secretion of epinephrine, norepinephrineand cortisol

    4. Increased heart rate5. Increased cardiac output6. Increased blood pressure

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    7. Increasing breathing rate

    8. Breathing airways dilate9. Increased metabolism10. Increased oxygen consumption

    11. Increased oxygen to the brain12. Blood shunted away from the digestive tract and

    directed into the muscles and limbs

    13. Increased muscle contraction

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    14. Increased blood coagulation15. Increased circulation of free fatty acids16. Transient increase in blood cholesterol17. Increased blood sugar released by the liver to

    provide fuel for the muscles18. Release of endorphins from the pituitary gland19. Pupils of the eyes dilate20. Piloerection

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    21. Reduction in blood viscosity22. Increased brain wave activity23. Sweat glands increase secretion24. Increased secretion from apocrine

    glands resulting in foul body odor25. Peripheral vasoconstriction

    26. Immune system is suppressed27. Kidneys decrease output28. Bowel and bladder sphincter close29. Saliva dries up (mouth becomes dry)30. Decreased perception of pain

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    Response of stress in females:the tend and befriend reaction

    Studies carried out by the NationalInstitute of Mental Health characterizedstress response in female by tend and befriend behaviour as against the fight-

    or-flight reaction theory which has beendisproportionately based on studies of males.

    The tend and befriend patternemanates form the females instinctivenurturance of offspring, even understressful conditions; adopts amiableattitude to ward off potential stressors.

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    Gender and Stress

    Gender roles affect perception of and responses to stressors Both sexes experience the fight-or-flight physiological

    response to stress

    Women are more likely to respond behaviorally with apattern of tend -and- befriend Gender differences may be partly tied to higher levels of the

    hormone oxytocin in women

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    Lifestyle Stress & NCD The Result (NCD): HypertensionDiabetes

    Cardiovascular DiseaseCancer Mental health problemsEarly burnoutsRepeated stress

    injuriesUrinary problemReproductive problemDigestive problemPsychosomatic

    illnesses

    To cope : Coffee AlcoholCigarettesetc

    The symptoms : Depression Absenteeism AnxietyInsomniaStress

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    Coping Strategies

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    Managing stress throughincorrect Coping

    Strategies

    Drinking coffee (caffeine) Smoking

    Alcohol Fast-foods & Binge eating

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    What is Coping?

    Process of managing the discrepancybetween the demands of the situationand the available resources.

    Ongoing process of appraisal andreappraisal (not static)

    Can alter the stress problem ORregulate the emotional response.

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    Emotion-Focused Coping

    Aimed at controlling the emotional response to thestressor.

    Behavioural (use of drugs, alcohol, social support,distraction) and cognitive (change the meaning ofthe stress).

    Often used when the person feels he/she cantchange the stressor (e.g., bereavement); or

    Doesnt have resources to deal with the demand .

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    Emotion-Focused Coping

    Seeking social support can be either problem oremotion-focused coping.

    Distancing cognitive effort to detach

    Escape-avoidance wishful thinking or takingaction to escape or avoid it. Self-control attempting to modulate ones

    feelings in response to the stressor.

    Accepting responsibility acknowledging onesrole in the situation while trying to put thingsright.

    Positive reappraisal create positive meaning.

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    Problem-Focused Coping

    Aimed at reducing the demands of thesituation or expanding the resources fordealing with it.

    Often used when the person believes thatthe demand is changeable.

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    Problem-Focused Coping

    Planned Problem-Solving analyzingthe situation to arrive at solutions andthen taking direct action to correct theproblem.

    Confrontive Coping taking assertiveaction, often involving anger or risktaking to change the situation.

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    Gender and Coping

    Men generally employ problem-focused copingstrategies more than emotional focused strategies.

    Opposite for women, with women more oftenemploying emotion-focused strategies.

    If men and women in same occupation, genderdifferences disappear, suggesting that societal sexroles influence choice of coping strategies.

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    Cognitive Re-structuring

    Process by which stress-provoking thoughtsare replaced with more constructive one.

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    Adopting Healthy Coping Skills

    Exercise Downtime for self-care Balance between work and play; leisure activities Time management initiate a schedule Actively pursuing major activities Practicing Learned Optimism

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    Stress Management Seeing the Light

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    Stress Management:The Ergonomic Perspective

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    What is the best solution?

    Prevention

    Every $1 invested on prevention saves $16

    A B C of Stress Management

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    A B C of Stress Management

    A = AWARENESS

    What causes you stress?

    How do you react?

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    B = BALANCE

    There is a fine line between positive / negativestress

    How much can you cope with before itbecomes negative ?

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    C = CONTROL

    What can you do to help yourself combat thenegative effects of stress ?

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    Stress Management Techniques

    Change your thinking

    Change your behaviour

    Change your lifestyle

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    Change your thinking

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    g y g Reframing: - To change the way you look at things in order to feel

    better about them.- To view the things in a different light and less

    stressfully.

    Positive Thinking: - Forget powerlessness, dejection, despair, failure.- Focus on positives- Focus on your strengths- Learn from the stress you are under- Look for opportunities.- Seek out the positive and make a change for the

    better.

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    Past Experiences

    Past experiences influence the cognitiveevaluation of a potential stressor

    Effective behavioral responses can overcomethe effects of negative past experiences

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    Change your Behaviour

    Be assertive Get organised Ventilation Humour Diversion and distraction

    Change your behaviour

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    1. Be assertive:

    - Extending the range of communication skills

    - Stand up for your personal rights- - Try and replace the Fight and Flight reaction with the moreamiable Tend and Befriend reaction.

    Express your thoughts, feelings and beliefs directly, honestly andspontaneously.

    The right to express opinions / beliefs:

    The right to say Yes/No for yourself Right to change your mind

    Right to say I dont understand Right to be yourself, not acting for the benefit of others The right to decline responsibility for other peoples problems The right to make reasonable requests of others The right to set your own priorities The right to be listened to, and taken seriously

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    Practice the following assertive skills:

    Establish good eye contact: neither stare nor look down or away

    Stand or sit comfortably - dont fidget Talk in a firm, steady voice Use body language I think / I feel What do you think? How do you feel? Concise and to the point

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    Assertive People

    Respect themselves and others

    Take responsibility for actions and choices Ask openly for what they want Disappointed if want denied

    Self - confidence remains intact Not reliant on the approval of others

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    Benefits

    Higher self-esteem Less self-conscious Less anxious Manage stress more successfully Appreciate yourself and others more easily

    Feeling of self-control

    2 G i d

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    2. Get organised:

    - Structured approaches offer security againstout of the blue problems. - Prioritising objectives duties and activities

    makes them manageable and achievable.- Dont overload your mind.- Organisation should help to avoid personaland professional chaos.

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    3. Ventilation:

    A problem shared is a problem halved

    - Develop a support network through friends orcolleagues to talk with.

    - Writing a diary or notes may help releasefeelings but do not re-read what has beenwritten.

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    4. Humour: Dont be too serious or in constant alert mode

    Humour is:- Good stress reducer

    - Relieves muscular tension- Improves breathing- Creates neuro-chemical changes that can buffer the

    immunosuppressive effects of stress.

    - Lowers serum cortisol levels- Increase the amount and activity of the T-lymphocytes,

    the natural killer cells.

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    5. Diversion and distraction:

    - Take time out- Get away from things that bother you

    - Reduce stress level- Calm down- Think logically

    h l f l

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    Change your lifestyle

    Diet:

    - Get a healthy, balanced and wholesome diet- Avoid fast foods with empty calories

    Smoking & Alcohol:

    - Abstinence is best.

    - Smoking and alcohol consumption are potentstressors.There are thousands of free radicals present incigarette smoke that can cause immense damage tothe body.

    Exercise: A t d t

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    - Acts as a de-stressor- Improves blood circulation- Lowers blood pressure and prevents CHD- Clears the mind of worrying thoughts and improves self

    image- Makes you feel better about yourself - Increases social contacts.

    Sleep: - Good stress reducer- A good nights sleep ensures that you wake refreshed and

    have plenty of daytime energy.

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    Leisure & Relaxation :

    - Develop interest inhobbies and activities- Do something differentand diversify youractivities

    - Spend leisure time withyour family.

    f f l

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    Benefits of Relaxation

    Lowers blood pressure Combats fatigue Promotes sleep Reduces pain

    Eases muscle tension

    Ti M

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    Time Management

    Make a listWhat MUST be done

    What SHOULD be doneWhat would you LIKE to do

    Cut out time wasting

    Learn to drop unimportant activities Say no or delegate

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    Plan your day Set achievable goals

    Dont waste time making excuses for notdoing something

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    Organizational Stress Management

    Healthy Work: Managing Stress in the Workplace

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    Creating a healthy and safe workplace requiresemployers and employees to work systematicallytogether to identify hazards and manage them

    M i St i th W k l

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    Managing Stress in the Workplace

    Traditional view Stress is the responsibility of the individual

    Organizational view Employers and employees have a

    responsibility to address work-related stress

    3 Approaches to Tackling Work-

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    pp grelated Stress

    PreventionStress Risk AssessmentsIdentifying and acting on the causes of stress

    ManagementGiving staff the skills to cope / manage

    TreatmentProfessional medical and psychological support

    Stress Risk Assessment -

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    A Preventive Approach

    SRA aims to identify:1. The level stress (the harm)

    2. The main sources of work-related stress (thehazards)

    3. What practicable steps can be taken toeliminate the sources of stress(hazards), if possible

    A I t ti l P ti

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    An International Perspective

    An international review of stress prevention in theworkplace highlights that there has been a lack of systematic Stress Risk Assessment (Kompier and

    Cooper, 1999).

    The UK Health and Safety Executive (HSE)Guidance recommends that a risk assessment

    approach be followed when tackling work-relatedstress

    Steps to Risk Assessment

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    Steps to Risk Assessment

    Step 1: Identify Hazards

    What mightcause harm?

    Step 2: Evaluate HarmWho couldbe harmed,and how?

    Step 3 (b): Introduce controlsWhat can we doto reduce the risk

    that hazards

    will cause harm?

    Step 3 (a):Evaluate RisksHow likelyis it that thehazard could

    cause harm?

    Step 4 & 5 - Record and Re-Assess

    Comparison of a Risk Assessment With a

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    Stress Risk Assessment

    Risk Assessment Stress Risk Assessment

    1. Identify the Hazards 1. Assess levels of stress (harm)

    2. Evaluate the Harm 2. Identify main sources of stress

    3. Evaluate the Risk 3. Identify the main sources of

    stress for individuals / teams4. Introduce Controls 4. Identify what can be done to

    manage the main sources of stress

    StressTools

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    A Tool for Tackling Work-related Stress

    StressTools aims to help organisations

    identify and manage work-related stressors.

    StressTools takes a preventive approach

    emphasising removing work-relatedstressors rather than treating stresssymptoms

    StressTools

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    3 Work Stress Risk Assessments(SRA)

    Task-based SRA

    Team-based SRA

    Future-focused SRA

    Task based SRA

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    Task-based SRA

    Identify and control stressors and other humanfactors hazards arising from an unusual, complexor hazardous task

    To be included in pre-existing Risk Assessmentprocess

    Emphasises links between stress and safety

    Tackles stigma associated with mentioning stress

    F t re foc sed SRA

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    Future-focused SRA

    Involve cross-section of employees identifying work-related stressorslikely to be associated with a future project or organisational changeand planning preventative measures

    Focuses on preventing future work-related stress

    Relevant to major projects or organisational changes

    Identifies relevant work-related stressors through employeeinvolvement

    Can be tailored to local circumstances

    Identifies actions to prevent / manage future sources of work-relatedstress

    Team based SRA

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    Team-based SRA

    The team-based SRA method, which identifieslevels and sources of stress in teams doingsimilar work in organisations and identifieslocally relevant solutions through employeeinvolvement is particularly relevant in lightof the changes to the Health and Safety inEmployment Amendment Act 2002.

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    Conducting a Team-based SRA

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    Conducting a Team based SRA

    Train project organiser / working teamNeeds to be well-respected by the teamImportant to maintain confidentiality about employees opinionsabout stressors and levels of stress

    Prepare for the team-based SRAUse cross-section of employees to identify local work-relatedstressors

    Customise the team-based SRAIdentify sub-groupsChoose comparison group for benchmarking purposesAdd local work-related stressorsAdd additional questions. Questions need a yes no answer format

    Collect dataPaper workbook / on-screen option

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    StressTools

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    14 Management Standards Providing Guidance onHow to Prevent Work-related Stressors

    WorkloadJob InsecurityTeam workingPerformance feedbackTraining &

    developmentHours of work

    Job designManagement supportTools and equipmentCommunicationRole ambiguity

    Skill under-utilisationWork-life balanceEffort-rewardimbalance

    Each Management Standard Includes

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    g

    A definition of the stressorHow the stressor can cause individual harm and organisational harmHow to identify if problem exists now or may do so in the futureManagement practices that may prevent or resolve these problems

    A table which includes:States which describe a well -managed organisation, in relation tothis stressorA space to record current organisational practice, enabling a gapanalysis to be doneExamples of the types of best practice which exemplify the state A space to record next steps/actions

    Prevention of Work Stress

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    Prevention of Work Stress

    primary prevention , reducing stress through:ErgonomicsWork and environment designOrganizational and management development

    secondary prevention , reducing stress through:Work education and training

    tertiary prevention, reducing stress through:Developing more sensitive and responsive managementsystems and enhanced occupational health provision

    Organizational Culture

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    Organizational Culture

    Organizational culture is one of the key factorsin determining how successful an organizationwill be in managing work stress

    Organizational culture is reflected in theattitudes of staff, their shared beliefs about the

    organization, their shared value systems and common approved ways of behaving at work.

    Why Focus On Employee Health

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    and Well-Being?

    American Psychological Association Poll Results

    2 out of 3 employees indicate work has significantimpact on stress level.

    25% of employees report calling in sick as a result

    of work stress.

    Why Focus On Employee Health

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    Costs of Job StressJob stress is estimated to cost U.S. industry

    $300 billion annually.

    and Well-Being?

    A WHO report states that India* will incuran accumulated loss of $236.6 billion by 2015

    due to unhealthy lifestyle and faulty diets.$54 billion of income loss has been predicted by

    2015 for Indians* due to the above reasons(*WHO Global health Satistics, 2008)

    Employees: Your Most Important

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    Asset

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    Healthy Workplace Practices

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    Healthy Workplace Practices

    Employee InvolvementEmployee Growth & Development

    Work-Life BalanceHealth & SafetyEmployee Recognition

    How Do Employees Benefit?

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    How Do Employees Benefit?

    Physical Health

    Mental Health

    Job Satisfaction

    Employee Morale

    Stress

    Motivation

    Commitment

    Climate

    How Does the Organization

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    Reduces AbsenteeismReduces TurnoverLowers Accident/InjuryRates

    Benefit?

    PerformanceProductivity

    Cost SavingsHiring SelectivityProduct/Service QualityCustomer Service &Satisfaction

    Competitive Advantages

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    Ideal Model of Organizational StressManagement

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    Management

    OrganizationalCommunication

    EmployeeInvolvement

    Selectionand Placement

    JobRedesigning

    WellnessPrograms

    Goal Setting

    GOOD MANAGEMENT

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    GOOD MANAGEMENT

    ISSTRESS MANAGEMENT

    Successful employers and managers provideleadership in dealing with the challenge of

    work stress

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    E d i b gi i g T t it th t St

    Thank You